Adelante Medical Group, Inc.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

G50737 Issued in CA

Legal business name

ADELANTE MEDICAL GROUP, INC.

Practice address

1840 S Standard Ave
Suite #108
Santa Ana, CA 92707-2464

Phone

(714) 541-6009

NPI assigned

Nov 2, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rafael Penunuri, M.D.NPI 1831270362

Title

Medical Director

Phone

(714) 541-6009

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael Arturo Penunuri, M.D.

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1831270362
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1417201153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 S STANDARD AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072464",
            "telephone_number": "714-514-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S STANDARD AVE",
            "address_2": "SUITE #108",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072464",
            "telephone_number": "714-541-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELANTE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "PENUNURI",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-541-6009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G50737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Adams, LMFT
• Raymond Michael Adams, DC
• Rebekah Ruth Adams
• Abigail Adan
• Peter Adebayo Adekayode
• Adept Prosthetics
• Christine Tran Adintori, OTD, OTR/L
• Adobe Medical Group Inc.
• Advance Oc Surgical Inc.
• Advance Occupational & Hand Therapy Center

• Addiction Medicine (Family Medicine) Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.